Currently Viewing:
Newsroom
Currently Reading
Medicare's VBP Has Led to Little Meaningful Gains in Patient Experience
January 28, 2017 – Laura Joszt
The Burden of Being a Medicare Patient With NSCLC
January 12, 2017 – Surabhi Dangi-Garimella, PhD
Council for Diabetes Prevention Selects Board, Focused on Medicare Launch of DPP
January 11, 2017 – Mary Caffrey
Proportion of Minority Patients in ACO Tied to Quality Performance
January 11, 2017 – Laura Joszt
Larger Insurers, Provider Groups Have More Success Negotiating Prices
January 10, 2017 – Christina Mattina
What We're Reading: HHS Will Take Swift Action on NC Medicaid Expansion Plan
January 10, 2017 – AJMC Staff
JCO Study Identifies Increased Duration of Treatment in Medicare Patients With NSCLC
January 09, 2017 – Surabhi Dangi-Garimella, PhD
A Better Way to Cover High-Value Services
January 09, 2017 – Laura Joszt
Omada Health Taps Former Sanofi Executive as Chief Medical Officer
January 09, 2017 – Mary Caffrey

Medicare's VBP Has Led to Little Meaningful Gains in Patient Experience

Laura Joszt
CMS has tried to improve patient experience by tying payments to performance as part of the Value-Based Purchasing (VBP) program; however, a paper published in Health Affairs found no evidence that the program has had a beneficial effect.
Patient experience with healthcare has been given greater priority over the last decade and evidence has shown that high patient satisfaction is associated with high quality of care. CMS has tried to improve patient experience by tying payments to performance as part of the Value-Based Purchasing (VBP) program; however, a paper published in Health Affairs found no evidence that the program has had a beneficial effect.

Through the VBP, hospitals are rewarded for a high rank or for improving on patient experience metrics.

“Has patient experience improved over time and, if so, by how much?” asked the authors. “Did implementation of the VBP program have a measurable effect on patient experience? And finally, did certain types of hospitals (for example, poor performers at baseline or major teaching hospitals) see greater improvements than other types of institutions under the program?”

The researchers used the national Hospital Consumer Assessment of Healthcare Providers and Systems scores for 2008 to 2014. Throughout this study period, overall experience ratings increased by 6.1 percentage points for all hospitals. Overall, patient experience improved at a faster rate before the VBP patient experience measurement period began.

Hospital characteristics played a role. For instance, small hospitals had a greater improvement after the intervention compared with larger ones; hospitals in the Northeast improved more than other regions, and rural hospitals improved more than urban ones. But after the intervention, there was a decrease in improvement across all characteristics, with the exception of public hospitals, the authors found.

They also determined that hospitals with the lowest baseline performance improved the most over the study time period, while hospitals with the highest baseline performance improved the least.

“This narrowed the gap between high and low performances from 25 percent to 15 percent,” the authors wrote.

Ultimately, the researchers determined that Medicare’s VBP program did not accelerate the improvement of patient experience more than the improvements that were already occurring in the industry. They were unsure why the VBP program has not sped up the improvement efforts and why the rate of improvement has slowed.

“Our study suggests that as value-based payment continues to be promoted, it is critical to ensure that payments are structured in ways that lead to better patient experience,” the authors concluded. “Alternative approaches—such as using stronger incentives or more narrowly focused metrics—are needed to clarify how to improve the experience of patients in US hospitals.”

 
Copyright AJMC 2006-2019 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up